CASE REPORT
A modified method of occlusion registration in the process of fabricating an implant-supported full-arch fixed restoration in the edentulous mandible
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Katedra Protetyki Stomatologicznej, Warszawski Uniwersytet Medyczny
Submission date: 2025-12-15
Final revision date: 2026-01-20
Acceptance date: 2026-03-19
Publication date: 2026-03-19
Corresponding author
Piotr Stendera
Katedra Protetyki Stomatologicznej, Warszawski Uniwersytet Medyczny
Prosthodontics 2026;76(1):16-24
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ABSTRACT
This article presents an original method that
modifies the production of an occlusal template
for model assembly during prosthetic treatment
with a permanent restoration supported on
implants for a completely edentulous mandible.
A traditional occlusal template (soft tissueborne
rim), in the situation of a greater number
of implants (6-8) and planning a permanent
restoration, is not useful for several reasons
(mobility of the rim, soft tissues sensitivity, etc.).
The use of the template screwed to implants,
made of temporary abutments and a self-curing
resin, is described. The precise and stable support
of the template on implants enables the unique
and reproducible positioning of the models and
execution of further laboratory and clinical
steps. In the described case a twelve-unit metalfused-
to-ceramic fixed restoration supported on
eight implants was made without any need for
the correction during installation in the patient’s
mouth. Optimal occlusal relationship seems to
be crucial for the long-term proper function of
both the restoration and the implants. A five-year
follow-up did not reveal any abnormalities either
in the structure of the restoration or in the bone
tissue surrounding the implants.